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To highlight the significant implications of L2 fluency research for language teaching, this chapter is dedicated to four aspects of L2 teaching practice: L2 policy documents, L2 textbooks, classroom practice and teacher cognition. This chapter aims to provide an analysis of how fluency is represented in each of these four aspects, and in what ways fluency research can help practitioners in these areas with everyday practices. After presenting a background to the role of fluency in L2 pedagogy, examples of L2 policy documents, e.g. the UK curriculum for teaching Modern Foreign Languages will be evaluated. We then provide a summary of research examining fluency in L2 textbooks, and discuss teaching activities that are reported as central to promoting fluency in the L2 classroom. Teacher understanding of fluency and the impact it has on promoting fluency in the language classroom will also be discussed.
Rehabilitation of memory after stroke remains an unmet need. Telehealth delivery may overcome barriers to accessing rehabilitation services.
Method:
We conducted a non-randomized intervention trial to investigate feasibility and effectiveness of individual telehealth (internet videoconferencing) and face-to-face delivery methods for a six-week compensatory memory rehabilitation program. Supplementary analyses investigated non-inferiority to an existing group-based intervention, and the role of booster sessions in maintaining functional gains. The primary outcome measure was functional attainment of participants’ goals. Secondary measures included subjective reports of lapses in everyday memory and prospective memory, reported use of internal and external memory strategies, and objective measures of memory functioning.
Results:
Forty-six stroke survivors were allocated to telehealth and face-to-face intervention delivery conditions. Feasibility of delivery methods was supported, and participants in both conditions demonstrated treatment-related improvements in goal attainment, and key subjective outcomes of everyday memory, and prospective memory. Gains on these measures were maintained at six-week follow-up. Short-term gains in use of internal strategies were also seen. Non-inferiority to group-based delivery was established only on the primary measure for the telehealth delivery condition. Booster sessions were associated with greater maintenance of gains on subjective measures of everyday memory and prospective memory.
Conclusions:
This exploratory study supports the feasibility and potential effectiveness of telehealth options for remote delivery of compensatory memory skills training after a stroke. These results are also encouraging of a role for booster sessions in prolonging functional gains over time.
Healthy aging is accompanied by decline in a broad range of functions, including episodic learning and memory, working memory, attention, processing speed, and executive functioning. Significant efforts have therefore been made to augment these functions in healthy older adults. Two principal rehabilitation approaches have been employed: restorative and compensatory. Restorative approaches aim to repair the affected cognitive processes by repeated, adaptive practice. The majority of these restorative approaches have proved to be efficacious, and there is considerable evidence for maintenance of training effects weeks or months after the intervention was concluded. Transfer of restorative training approaches has been more elusive, although recent work has shown training effects on aspects of everyday life such as driving and instrumental activities of daily living. Compensatory approaches strive to bypass the impairment by teaching people strategies to bolster performance. Multimodal compensatory approaches that combine strategy training with counseling about other factors that affect cognition have been shown to help older adults learn new strategies, implement them to the benefit of cognitive performance, and adjust their views and expectations to better cope with the changes that occur during healthy aging.
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